Provider Demographics
NPI:1932424280
Name:PATIENCE HEALTH CARE
Entity type:Organization
Organization Name:PATIENCE HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:NYAMBURA
Authorized Official - Last Name:MWANGI
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:443-801-8693
Mailing Address - Street 1:6153 RADECKE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-2933
Mailing Address - Country:US
Mailing Address - Phone:443-909-5247
Mailing Address - Fax:
Practice Address - Street 1:6153 RADECKE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-2933
Practice Address - Country:US
Practice Address - Phone:443-909-5247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2833251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR2833OtherMARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE